Ellencweig A Y, Shemesh A A, Kaminer H
Isr J Med Sci. 1986 Dec;22(12):855-60.
Three hundred and fifty-three elderly patients hospitalized in acute-care general wards in Tel Aviv and Jerusalem were studied to check whether their continued hospitalization was medically justified. Of these, 53 (15%) were found not to be in need of acute hospital care, the proportion being significantly higher in Jerusalem (20%) than in Tel Aviv (12%). The major contribution to the overstays in Jerusalem was prolonged hospitalizations of patients in need of custodial care. There was also a significant association between physical and behavioral impairment and patient overstay in both cities. Our findings suggest that hospital overstays could be reduced by the creation of an intermediate level of care for patients with placement problems following acute hospitalization.
对特拉维夫和耶路撒冷综合急症病房收治的353名老年患者进行了研究，以检查他们继续住院在医学上是否合理。其中，53名（15%）患者被认定不需要急症医院护理，这一比例在耶路撒冷（20%）显著高于特拉维夫（12%）。耶路撒冷超期住院的主要原因是需要监护护理的患者住院时间延长。在这两个城市，身体和行为障碍与患者超期住院之间也存在显著关联。我们的研究结果表明，通过为急性住院后有安置问题的患者建立中级护理水平，可以减少医院超期住院的情况。
